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Technical Framework Supplement Hospital Medication Workflow

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Technical Framework Supplement Hospital Medication Workflow Integrating the Healthcare Enterprise 5 IHE Pharmacy Technical Framework Supplement 10 Hospital Medication Workflow (HMW) 15 Trial Implementation 20 Date: September 27, 2012 Author: José Costa Teixeira, Orlando Rodrigues, Hugo Santos, Marc Robberecht Email: [email protected] Copyright © 2012: IHE International, Inc. IHE Pharmacy Technical Framework Supplement – Hospital Medication Workflow (HMW) ______________________________________________________________________________ Foreword 25 This is a supplement to the forthcoming IHE Pharmacy Technical Framework. Each supplement undergoes a process of public comment and trial implementation before being incorporated into the volumes of the Technical Frameworks. This supplement is submitted for Trial Implementation as of September 27, 2012 and will be available for testing at subsequent IHE Connectathons. The supplement may be amended based 30 on the results of testing. Following successful testing it will be incorporated into the forthcoming Pharmacy Technical Framework. Comments are invited and may be submitted at http://www.ihe.net/pharmacy/pharmacycomments.cfm or by email to [email protected]. This supplement introduces a new forthcoming technical framework and where indicated amends text by addition (bold underline) or removal (bold strikethrough), as well as addition of large 35 new sections introduced by editor’s instructions to “add new text” or similar, which for readability are not bolded or underlined. “Boxed” instructions like the sample below indicate to the Volume Editor how to integrate the relevant section(s) into the relevant Technical Framework volume: 40 Replace Section X.X by the following: General information about IHE can be found at: www.ihe.net Information about the IHE Pharmacy domain can be found at: http://www.ihe.net/Domains/index.cfm 45 Information about the structure of IHE Technical Frameworks and Supplements can be found at: http://www.ihe.net/About/process.cfm and http://www.ihe.net/profiles/index.cfm The current version of IHE Technical Frameworks can be found at: http://www.ihe.net/Technical_Framework/index.cfm 50 __________________________________________________________________________ 2 Rev. 1.3 – 2012-09-27 Copyright © 2012: IHE International, Inc. IHE Pharmacy Technical Framework Supplement – Hospital Medication Workflow (HMW) ______________________________________________________________________________ CONTENTS INTRODUCTION ....................................................................................................................................................... 6 PROFILE ABSTRACT ................................................................................................................................................... 6 55 OPEN ISSUES.............................................................................................................................................................. 6 CLOSED ISSUES.......................................................................................................................................................... 8 VOLUME 1 – INTEGRATION PROFILES .......................................................................................................... 12 1.N COPYRIGHT PERMISSION ................................................................................................................................... 12 2.1 DEPENDENCIES AMONG INTEGRATION PROFILES ............................................................................................... 12 60 2.7 HISTORY OF ANNUAL CHANGES ........................................................................................................................ 12 3 INTEGRATION PROFILES OVERVIEW .................................................................................................. 13 3.1 PHARMACY INTEROPERABILITY MODEL ........................................................................................................ 13 4 INTRA-HOSPITAL WORKFLOW INTEGRATION PROFILE .............................................................. 14 4.1 ACTORS/ TRANSACTIONS ............................................................................................................................... 14 65 4.2 INTRA-HOSPITAL WORKFLOW INTEGRATION PROFILE OPTIONS .................................................................... 15 4.2.1 Option: Advance Prescription Notification ......................................................................................... 16 4.3 INTRA-HOSPITAL WORKFLOW PROCESS FLOW .............................................................................................. 16 4.3.1 Scope.................................................................................................................................................... 16 4.3.2 Workflow .............................................................................................................................................. 18 70 4.4 PHARMACY MESSAGING CONTENT ................................................................................................................ 20 4.4.1 Common Data ...................................................................................................................................... 23 4.4.2 Prescription Order .............................................................................................................................. 24 4.4.3 Pharmacy Validated Order .................................................................................................................. 25 4.4.4 Medication Preparation Report ........................................................................................................... 26 75 4.4.5 Administration Report ......................................................................................................................... 27 4.5 ORDER STATUS MANAGEMENT...................................................................................................................... 28 4.5.1 Prescription, Validation, Dispense and Administration Status ........................................................... 28 5 CONVENTIONS .............................................................................................................................................. 31 5.1 TECHNICAL FRAMEWORK CROSS-REFERENCES.............................................................................................. 31 80 5.2 THE GENERIC IHE TRANSACTION MODEL ..................................................................................................... 31 5.3 HL7 PROFILING CONVENTIONS...................................................................................................................... 32 5.3.1 Static Definition - Message Level ........................................................................................................ 32 5.3.2 Static Definition - Segment Level......................................................................................................... 34 5.4 HL7 IMPLEMENTATION NOTES ...................................................................................................................... 34 85 5.4.1 Network Guidelines ............................................................................................................................. 34 5.4.2 Message Granularity ........................................................................................................................... 34 5.4.3 Empty Fields ........................................................................................................................................ 35 5.4.4 Acknowledgement Modes ..................................................................................................................... 35 5.4.5 IHE Pharmacy Technical Framework Acknowledgement Policies ..................................................... 35 90 5.4.6 HL7 Data Types ................................................................................................................................... 36 5.4.7 Scenario without a Pharmaceutical Adviser ........................................................................................ 39 VOLUME 2 - TRANSACTIONS ............................................................................................................................. 42 5.5 PRESCRIPTION ORDER – PHARM-H1 ............................................................................................................ 42 5.5.1 Scope.................................................................................................................................................... 42 95 5.5.2 Use Case Roles .................................................................................................................................... 42 __________________________________________________________________________ 3 Rev. 1.3 – 2012-09-27 Copyright © 2012: IHE International, Inc. IHE Pharmacy Technical Framework Supplement – Hospital Medication Workflow (HMW) ______________________________________________________________________________ 5.5.3 Referenced Standard ............................................................................................................................ 43 5.5.4 Interaction Diagram ............................................................................................................................ 43 5.5.5 Security Considerations ......................................................................................................................
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